2025-10-31T15:18:12-05:00 2024-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-01-01 161492003 ROME MEMORIAL PROPERTIES INC ROME 3153387024 1500 NORTH JAMES ST ROME NY 13440 NATHAN SMITH AVP FINANCE 3153387024 2025-10-30 1 1 DESIREE M BENNETT P01263666 3154463600 2025-10-30 2024 2025-03-06 01:10:19Z ANNEMARIE CZYZ 1500 NORTH JAMES STREET ROME NY 13440 167287 0 X N/A X 1995 NY TO PROMOTE AND SUPPORT THE CHARITABLE PURPOSES OF ROME MEMORIAL HOSPITAL 7 7 0 7 0 0 0 0 0 0 0 0 167287 167287 167287 167287 0 0 0 0 0 0 0 0 0 92333 85268 92333 85268 74954 82019 1712985 1795456 3961 4413 1709024 1791043 TO PROMOTE AND SUPPORT THE CHARITABLE PURPOSES OF ROME MEMORIAL HOSPITAL 0 0 68428 167287 ROME MEMORIAL PROPERTIES PROMOTES AND PROVIDES HEALTHCARE SERVICES TO THE ROME AREA COMMUNITY. 68428 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X NATHAN SMITH -ROME MEMORIAL HOSPITAL 3153387024 1500 NORTH JAMES STREET ROME NY 13440 X DARLENE BURNS SECRETARY 1.00 X X 0 0 0 DR JOHN RESTIVO MD CHAIR 1.00 X X 0 0 0 KRISTIN GRUNDER VICE CHAIR 1.00 X X 0 0 0 ANNEMARIE CZYZ CEO 1.00 54.00 X X 0 188660 12528 LORI KALPLAN FELICE ASST. SECRETARY 1.00 X X 0 0 0 NICOLE CHUBBACK TREASURER 1.00 X X 0 0 0 NATHAN SMITH AVP FINANCE 1.00 54.00 X 0 144067 13095 0 332727 25623 0 0 1 0 0 167287 0 167287 167287 167287 167287 167287 0 0 3730 3730 568 568 51328 51328 2428 2428 MAINTENANCE 14672 14672 PURCHASED SERVICES 10582 10582 LICENSES AND FEES 1960 1960 85268 68428 16840 0 165857 250110 13227 1192046 1178341 16133 13705 1530995 1518414 1712985 1795456 3961 4413 3961 4413 X 1709024 1791043 1709024 1791043 1712985 1795456 82019 0 X X 0 1 X 1 0 X X 1 ROME MEMORIAL HOSPITAL 161471634 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1192046 1178341 13705 13705 DUE FROM ROME MEMORIAL HOSPITAL 1518414 1518414 X PART X, LINE 2: INCOME TAXES: PROPERTIES IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. PROPERTIES IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2024 AND 2023, PROPERTIES DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2021 THROUGH 2024. PROPERTIES DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. 0 0 0 0 0 0 0 0 0 ANNEMARIE CZYZ CEO 0 188660 0 0 0 0 0 8420 0 4108 0 201188 0 0 NATHAN SMITH AVP FINANCE 0 144067 0 0 0 0 0 11086 0 2009 0 157162 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PREFORMED BY OR UNDER DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES TO ANNEMARIE CZYZ AS CEO. IN JUNE 2024, ANNEMARIE CZYZ BECAME AN EMPLOYEE OF RMH. FORM 990, PART VI, SECTION A, LINE 6 GRA IS THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B IN SEPTEMBER OF 2025 A MEETING WILL BE HELD PRIOR TO FILIING THE RETURN TO REVIEW THE 2024 990. FORM 990, PART VI, SECTION B, LINE 12C CONSISTENT WITH ROME HOSPITAL'S GIFTS, GRATUITIES AMD CONFLICT OF INTEREST POLICY, THE COMPLIANCE MANAGER OF RMH HAS A CONFLICT OF INTEREST DISCLOSURE FORM COMPLETED ON AN ANNUAL BASIS BY ALL OFFICERS, DIRECTORS AND MANAGEMENT PERSONNEL. THE CEO COLLECTS AND REVIEWS THE BOARD OF TRUSTEES INTEREST DISCLOSURE FORMS ON AN ANNUAL BASIS. THE INFORMATION GATHERED ON THE DISCLOSURE IS REVIEWED AND ANY CONFLICTS ARE COMMUNICATED TO CEO/PRESIDENT AND BOARD OF TRUSTEES TO ENSURE ALL HOSPITAL TRANSACTIONS ARE COMPLETED FREE FROM OUTSIDE INFLUENCE. POTENTIAL CONFLICTS THAT MAY ARISE THROUGHOUT THE YEAR ARE BROUGHT TO THE ATTENTION OF THE COMPLIANCE MANAGER AND CEO/PRESIDENT FOR REVIEW. FORM 990, PART VI, SECTION C, LINE 18 THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART VII: IN 990 PART VII, ANNEMARIE CZYZ IS LISTED AS AN OFFICER AND ASSUMED THE DUTIES OF CEO. PRIOR TO JUNE 2024, ANNEMARIE CZYZ WAS HIRED THROUGH A SERVICE AGREEMENT WITH SJH. ANNEMARIE CZYZ WAS HIRED BY ROME MEMORIAL HOSPITAL IN JUNE 2024. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED EITHER IT'S OVERSIGHT PROCESS OR SELECTION DURING THE TAX YEAR. GREATER ROME AFFILIATES 1500 NORTH JAMES STREET ROME NY 13440 161508597 PARENT CORPORATION NY 501 (C) (3) LINE 12C, III-FI N/A 1 ROME MEMORIAL HOSPITAL 1500 NORTH JAMES STREET ROME NY 13440 161471634 HOSPITAL NY 501 (C) (3) LINE 3 GRA 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0